NPI | 1710530548 |
---|---|
Former Name | SARA ASHLEY VOSBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH EL12090) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060642) |
Enumeration Date | 2019-07-21 |
Last Update Date | 2023-06-08 |